Active NPI
Arlington Rehabilitation & Healthcare Center, LLC
Doing business as Arlington Rehabilitation& HealthCare Center
- Skilled Nursing Facility
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 12567
- Legal business name
- ARLINGTON REHABILITATION & HEALTHCARE CENTER, LLC
- Doing business as
- Arlington Rehabilitation& HealthCare Center
- Practice address
- 1020 Tuscaloosa Ave SW
Birmingham, AL 35211-1619 - Phone
- (205) 788-6330
- Fax
- (205) 788-7330
- NPI assigned
- Jun 17, 2006
- Last updated
- Jan 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jacqueline E Carter
- Title
- Administrator
- Phone
- (205) 788-6330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 12567 | AL | Primary |
Addresses
Primary practice location
1020 Tuscaloosa Ave SW
Birmingham, AL 35211-1619
Mailing address
1 Southern Way
Mobile, AL 36619-1210
Phone (251) 433-9801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 475364OS | Medicaid | AL |
Other names 1
- Arlington Rehabilitation& HealthCare Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030711000007 | AL | Part A Provider - Skilled Nursing Facility | 8325958218 | Practice locations: Birmingham, AL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1679518450. Details of each certification follow.
Skilled nursing facility certification: CCN 015153
- Legal name
- ARLINGTON REHABILITATION & HEALTHCARE CENTER, LLC
- Doing business as
- ARLINGTON REHABILITATION & HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1977
- Last certification
- Apr 1, 2021
- Beds
- 117
- Ownership / control type
- Corporation
- Multi-facility organization
- BALL HEALTHCARE SERVICES
- Most recent change of ownership
- Jul 1, 2003
- Organization structure
- LLC
- Incorporated
- May 14, 2003 in AL
- Enrollment address
- 1020 Tuscaloosa Avenue SW
Birmingham, AL 35211-1619 - Nursing home name
- ARLINGTON REHABILITATION & HEALTHCARE CENTER
- Affiliated entity
- BALL HEALTHCARE SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Arlington Rehabilitation & Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 1, 1977
- Medicare certification status
- Active
- Certified beds
- 117
- Chain
- Ball Healthcare Services
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Apr 14, 2025 | ||
| Marcos Almonte Sencion | Operational/Managerial Control | Jul 1, 2024 | |
| Adp of the SNF | Jul 1, 2024 | ||
| Clarence Melvin Ball | 5% Or Greater Direct Ownership Interest | Jul 1, 2003 | 100% |
| Corporate Director | Jul 11, 2003 | 100% | |
| Ball Healthcare Service, Inc | Adp of the SNF | Apr 11, 2025 | |
| Verlisa S Hollis | Operational/Managerial Control | Jul 3, 2024 | |
| Matthew Hall | Corporate Officer | Oct 1, 2014 | |
| Adp of the SNF | Oct 1, 2014 | ||
| Brandon T Upshaw | Operational/Managerial Control | Sep 23, 2019 | |
| Adp of the SNF | Apr 14, 2025 | ||
| Ball Healthcare - Mountainview, Inc. | Adp of the SNF | Jul 1, 2003 | |
| Adp of the SNF | Apr 14, 2025 | ||
| Adp of the SNF | Apr 14, 2025 | ||
| Adp of the SNF | Apr 14, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Jasper, AL
- NPI 1225680390
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Jasper, AL
- NPI 1225680390
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1740209048
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485388800000",
"number": "1679518450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SOUTHERN WAY",
"city": "MOBILE",
"state": "AL",
"postal_code": "366191210",
"telephone_number": "251-433-9801",
"fax_number": "251-433-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 TUSCALOOSA AVE SW",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111619",
"telephone_number": "205-788-6330",
"fax_number": "205-788-7330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARLINGTON REHABILITATION & HEALTHCARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2017-01-26",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "205-788-6330",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "12567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "475364OS",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arlington Rehabilitation& HealthCare Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.